Keeping You Informed

Soon we will provide you with the ability to:

  • Instantly view lab results, medications, diagnoses, care plans, immunization history, and more.
  • Exchange secure messages with you instantly to reduce phone calls.
  • Allow you to complete customizable intake forms prior to your appointment with Online Check-In.
  • Successfully meet and attest for Meaningful Use measures.
  • The patient portal is free, and it only takes a moment to set up.

Patient Application

New Patient Intake Is On Wednesdays From 2 p.m. – 4 p.m.

Applicants need to bring proof of income. There is an administration fee of $35.00 for the first year and $25.00 each year after that.

Download and print clinic application below. Available as a PDF or Microsoft Word Document.

clinic application PDF

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clinic application word doument

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Resources For You

Galax Free Clinic Access To Research

Patient Access To Research

Galax Free Clinic Diabetes Information

Everything About Diabetes